Abstract

This descriptive and cross-sectional study evaluated the adherence of patients with Metabolic Syndrome (MetS) to the Mediterranean Diet (MedDiet). Patients who met the National Cholesterol Education Program Adult Panel III (NCEP ATP III) criteria enrolled. Socio-demographic characteristics, physical activity levels, blood tests and anthropometric variables were recorded and evaluated. A 24-hour retrospective record form and Mediterranean Diet Adherence Scale (MEDAS) were used to assess nutritional consumption and adherence, respectively. Of the patients (n=203) 50.2%, 39.9% and 9.9% were non-, moderately and strictly adherent to MedDiet, respectively. MEDAS scores were correlated with body weight (r=-0.147; P =0.036), waist circumference (r=-0.141; P =0.044), HDL cholesterol (r=0.193; P =0.006). Daily omega-3 fatty acids intake increased with higher adherence to MedDiet (P <0.001). Significant differences were observed between non-adherent and adherent subjects in daily intakes of dietary fiber, oleic acid and total monounsaturated fatty acids.This study showed low adherence to MedDiet in patients with MetS.

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